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Individual

MRS. ENRIQUE FABRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT MA30924

Contact information

Practice address
6919 W 36 AV, #202, HIALEAH, FL 33018
(786) 271-5562
(305) 825-8667
Mailing address
6919 W 36 AV, #202, HIALEAH, FL 33018
(786) 271-5562
(305) 825-8667

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA30924
FL

Other

Enumeration date
02/01/2008
Last updated
02/01/2008
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